Kyle Kathleen Moon
Counselor β’ The Dalles, OR
3601 W 10th St
The Dalles, OR 970584377
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
3601 W 10th St
The Dalles, OR 970584377
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 2 distinct additional practice-address records in Deerfield Beach, FL; San Diego, CA. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Counselor: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2017
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in The Dalles and Oregon
12 active clinicians are listed under Counselor with a practice address in The Dalles, OR (4,471 in Oregon).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in The Dalles
0% of these 12 clinicians have the CMS telehealth indicator.
0% of these 12 clinicians are listed by CMS as accepting Medicare assignment.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2023-09-15NUCC Taxonomy Code: 101Y00000X
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
NUCC Taxonomy Code: 101YM0800X
Secondary Practice Locations
500 Fairway Dr Ste 102
Deerfield Beach, FL 334411817
Phone: 8774182978
1260 Morena Blvd
San Diego, CA 921103889
Phone: 6193980355
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Psychiatric/Mental Health
Psychiatric-Mental Health Nurse Practitioner
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 3601 W 10TH ST, THE DALLES, OR 970584377 (Tel: 5032349591)
Registered at 3415 SE POWELL BLVD, PORTLAND, OR 972023371 (Tel: 5032349591)
Registered at 500 FAIRWAY DR STE 102, DEERFIELD BEACH, FL 334411817 (Tel: 8774182978)
Registered at 500 FAIRWAY DR STE 102, DEERFIELD BEACH, FL 334411817 (Tel: 8774182978)
NPI status registered as active in NPPES database
Registered at 1260 MORENA BLVD, SAN DIEGO, CA 921103889 (Tel: 6193980355)
Registered at 1260 MORENA BLVD, SAN DIEGO, CA 921103889 (Tel: 6193980355)
Recorded as KYLE MOON
Counselor
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
3415 Se Powell Blvd
Portland, OR 972023371
Phone: 5032349591